Process

• We currently offer three active health policies: Bandhan Life Health Plan-Regular, Bandhan Life Health Plan-Single Premium, and Bandhan Life iHealth Plan
• There are 2 types of health insurances: Indemnity & Fixed Benefit. We only have fixed benefit health insurance
• Premium frequencies are - Single, Semi-annual & Annual
• The maximum policy term is up to 15 years
• For raising member addition / deletion request policy should be active
• Member addition / deletion request to be taken when a policy is active & 15 days prior to due date (PTD)
• Member addition / deletion request cannot be taken in grace period
• We currently do not provide Ecard as we do not have the provision for the same
• No claim bonus - If no claim is done in current policy year, then 10% of SA increases
• Please note that the health policy will become inactive one month after the maturity date. As per HPMS guidelines, the payment portal will also be closed after this period.

Point of Contact

• If customer is asking for updated policy document agent to coordinate with Shubham Shyam Sarode
• For details on coverages (SA under various categories - DHCB, SCB, ICU, CI) , premium amount, members available on the policy etc.. agents should contact HPMS Support

• Anything pertaining to policy servicing (addition/deletion of members, change in mobile number/email address) to be addressed to POS team (Shraddha)

Claim Process

• There are 2 two types of claims
• Cashless: Where a customer visits hospital for any treatment (covered in policy). Hospital will send intimation to TPA and TPA will give preauthorization approval. Then the treatment can be started for customer. TPA is only liable to pay for the preauthorized amount anything beyond that is to be paid by the customer. This amount will directly be paid by TPA to the respective hospital
• Reimbursement: A reimbursement claim in health insurance is when you pay for medical expenses out of pocket and then request your insurance company to reimburse you for those costs
• If the customer has provided any claim documents to us, the agent will forward them to Vadde Chiranjeevi and notify the customer that their documents have been sent. The agent will also inform the customer that if any additional information is needed, the TPA will reach out directly. Additionally, the agent will advise the customer to send the original claim documents to Paramount Health Services & Insurance TPA Pvt. Ltd. at Plot No. A-442, Road No. 28, Wagle Estate, Ram Nagar, Thane West, 400604
• If the customer has not yet shared any claim documents with us but is inquiring about the claims process for the first time, the agent should instruct them to email their documents to contact.phs@paramounttpa.com. Additionally, the agent should advise the customer to send the original claim documents to the following address: Paramount Health Services & Insurance TPA Pvt. Ltd., Plot No. A-442, Road No. 28, Wagle Estate, Ram Nagar, Thane West, 400604
• Agents should not disclose any fixed claim amounts to customers. If a customer inquiries about the claim amount, the agent should explain that it will be the claim amount plus any No Claim Bonus (NCB), based on the terms and conditions of their policy

Process Note for HPMS - Policy Servicing Related

• A policy must be active to raise a member addition or deletion request.
• Member addition / deletion request to be taken when a policy is active & 15 days prior to due date (PTD).

• Addition of Member is effective as per policy anniversary date in ops console

• Addition of Member request can be accepted in below mentioned policy statuses - In Force - New Issue, In Force - Reinstatement.
• Documents required for member addition / deletion of member & Alteration: Duly signed request letter or endorsement form to be submitted by the customer along with copy of Date of birth proof of member to be added
• iAssist to not be promoted as health policies cannot log in to iAssist.
• For member addition, the "Addition of Member" questionnaire is required along with Copy of Date of birth proof of member to be added

• For member deletion, consent from the registered email ID is necessary along with complete name of member to be deleted

• Once any request is raised it would be processed in 7 calendar days and a communication would also be sent to you via SMS/email
• For updating personal details like mobile number, email id & address Aadhar card is required along with consent from registered email id
• If customer wants to update name in his policy Aadhar card is required along with consent from registered email id

Member addition questionnaire: Uploaded on KM portal under forms section

Drafts Section:

Customer wants to add members in policy

Dear XXXX,

Thank you for writing to us.

This is with reference to your email dated 0000, regarding your

Please be informed that member addition can be done 15 days prior to due date only i.e. XXXXXX.

To assist you further, we request you to kindly share below mentioned documents with us from your registered email id:

• Duly signed request letter or endorsement form (attached)
• Copy of Date of birth proof of member to be added

Once a request is raised in our system the same would be processed in 7 calendar days.

If you have any questions or need further assistance, please do not hesitate to reach out. We are here to support you on every step of the way.

Thank you for trusting Bandhan Life Insurance with your insurance needs.

You can also reach us through the following channels: 

• Chat now on WhatsApp: Click here or just send a “Hi” on 9867452226.

Regards,

Customer Service

Bandhan Life Insurance Limited

Customer wants to delete members in policy

Dear XXXX,

Thank you for writing to us.

This is with reference to your email dated 0000, regarding your

Please be informed that member deletion can be done 15 days prior to due date only i.e. XXXXXX.

To assist you further, we request you to kindly share below mentioned documents with us from your registered email id:

• Consent from registered email id
• Complete name of member to be deleted

Once a request is raised in our system the same would be processed in 7 calendar days.

If you have any questions or need further assistance, please do not hesitate to reach out. We are here to support you on every step of the way.

Thank you for trusting Bandhan Life Insurance with your insurance needs.

You can also reach us through the following channels: 

• Chat now on WhatsApp: Click here or just send a Hi on 9867452226.

Regards,

Customer Service

Bandhan Life Insurance Limited

When request is raised for member addition

Dear XXXX,

Thank you for writing to us.

This is with reference to your email dated 0000, regarding your

We acknowledge the receipt of your document. Please be informed that a request has been raised in our system and the same would be processed in 7 calendar days.

Request reference number is SR-XXXXXX.